<span lang="EN-US">Treatment of stroke patients can be effectively carried out with the help of collateral circulation performance. Collateral circulation scoring as it is now used is dependent on visual inspection, which can lead to an inter- and <br /> intra-rater discrepancy. In this study, a collateral circulation classification using the ResNet50 was analyzed by using cone beam computed tomography (CBCT) images for the ischemic stroke patient. The remarkable performance of deep learning classification helps neuroradiologists with fast image classification. A pre-trained deep network ResNet50 was applied to extract robust features and learn the structure of CBCT images in their convolutional layers. Next, the classification layer of the ResNet50 was performed into binary classification as “good” and “poor” classes. The images were divided by 80:20 for training and testing. The empirical results support the claim that the application of ResNet50 offers consistent accuracy, sensitivity, and specificity values. The performance value of the classification accuracy was 76.79%. The deep learning approach was employed to unveil how biological image analysis could generate incredibly dependable and repeatable outcomes. The experiments performed on CBCT images evidenced that the proposed ResNet50 using convolutional neural network (CNN) architecture is indeed effective in classifying collateral circulation.</span>